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There are four problems that may occur in individuals with sever disabilities when feeding is taking place These four problems chin retraction tongue retraction chin thrust and tongue thrust all take place in the dental region of the face and they all involve the muscles of that same region Each one presents its own difficulties however sometimes the may occur simultaneously The basis for the inner feeding team is the jaw or chin It controls and regulates the movements of the other muscles including the lips and tongue The jaw may have two significant problems that accompany it The first is known as chin retraction This condition is found mainly in individuals with neurological impairments The reasons for this being that these individuals tend to show more neck extension and shoulder retraction With this poor development the jaw is pushed forward by the rest of the skeletal structure The jaw then opens irregularly and with no set pattern It may even become stuck in an open position Feeding is difficult because the child has little or no control over his jaw Another problem that may occur with the jaw but is less common is chin retraction This movement is a pulling back of the lower jaw making it difficult for the mouth to open fully Strain is placed on the mouth and air passage forming a smaller tunnel of flow This then creates a problem with swallowing A child with this type of problem must not be given solid tough or chewy food that is not already chopped up Otherwise choking may occur In addition to problems with the chin are problems with the tongue The tongue is one of the major muscles of the mouth The ability of the tongue to change shape contributes to the efficiency and skill with which food can be organized and controlled in the mouth If the tongue becomes
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